title: [Clinical application of transverse rectus abdominis musculocutaneous flap reserving partial anterior sheath (TRAM-RPAS) in the one-stage breast reconstruction for patients with breast cancer].
abstract: OBJECTIVE
  To investigate the clinical application of TRAM-RPAS flap in the one-stage breast reconstruction for patients with breast cancer, and to discuss the method to reduce the incidence of abdominal hernia and abdominal bulging.
  
  
  METHODS
  From 2002 to 2004, 16 cases of breast cancer (9 cases in stage I or II and 7 in stage III) received radical resection and breast reconstruction with TRAM-RPAS flaps at the same stage.
  
  
  RESULTS
  Good symmetry was achieved in 12 cases. In the other 4 cases, 3 cases had moderate breast poptosis and one case had breast hypoplasia on the unaffected side. All the flaps survived with only one case of abdominal bulging.
  
  
  CONCLUSIONS
  TRAM-RPAS flap can achieve the same result as traditional TRAM-RPAS flap in the one-stage breast reconstruction, while the incidence of abdominal complication is lower for TRAM-RPAS flap.
authors.affiliation: General Surgery Division of Surgery Department, NO. 1 Affiliated Hospital to Zhejiang University, Hangzhou 310006, China.
authors.forename: Xiao-Jiao
authors.initials: XJ
authors.lastname: Liu
authors.forename: Xiu-Di
authors.initials: XD
authors.lastname: Ye
authors.forename: Cui
authors.initials: C
authors.lastname: Wang
authors.forename: Yu-Sheng
authors.initials: YS
authors.lastname: Yu
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D017568:Rectus Abdominis / Q000637:transplantation*; D013524:Surgical Flaps